| Regimental number | 3891 |
| Place of birth | Port Mackay Queensland |
| Religion | Church of England |
| Occupation | Seaman |
| Address | 42 Weigall Street, South Yarra, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs L Page, 42 Weigall Street, South Yarra, Victoria |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/23/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 12 April 1919 |
